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许多作者报道分泌性中耳炎患儿特应性变态反应的发病率较高,另一些报道则认为变态反应性治疗可改善这些患儿的情况。本研究的目的是确定儿童分泌性中耳炎与特应性变态反应的关系以及对皮质类固醇治疗的反应。研究对象为89名3~12岁的分泌性中耳炎患儿,病程均超过半年。根据病史、皮肤试验、总IgE和鼻分泌物嗜酸细胞检查来估计特应性变态反应的可能性。皮肤试验应用8种变应原包括屋内尘土、屋尘螨、草类花粉、狗毛、猫毛、马毛、烟曲霉和牛奶,有2个或2个以上皮试风团>0.5cm时为阳性;总IgE用Phadebas纸片
Many authors report a higher prevalence of atopic allergy in children with secretory otitis media, while others report that allergic treatment may improve these children. The purpose of this study was to determine the relationship between secretory otitis media in children and atopic allergy and the response to corticosteroid therapy. Subjects were 89 children with secretory otitis media between 3 and 12 years of age with a duration of more than six months. The possibility of an atopic allergic reaction is estimated on the basis of medical history, skin test, total IgE and nasal secretions eosinophil examination. Skin test application of eight kinds of allergens, including house dust, house dust mites, grass pollen, dog hair, cat hair, horse hair, Aspergillus fumigatus and milk, with 2 or more than the skin test group> 0.5cm Positive; Phadebas paper for total IgE